Individual
JASON WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
695 KINKAID RD, ANNAPOLIS, MD 21402-1006
(410) 293-1764
Mailing address
MARINE AIR GROUP 26, PSC BOX 21010, JACKSONVILLE, NC 28545
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
06/21/2017
Last updated
04/05/2024
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